WelbeHealth
Direct Greenhouse career site

Utilization Management RN

Pay
$99,310 – $131,089 per year
Location
California
Listed
10 days ago

Essential Job Duties

  • Direct oversight of day-to-day operations within the designated UM team
  • Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness
  • Identify, develop, and provide orientation and competency development for staff processing and/or reviewing authorizations
  • Collaborate with providers (internal and external), clinical staff, and others to timely resolve any utilization management issues

Job Requirements

  • Minimum of three (3) years of relevant clinical nursing experience
  • Strong preference for prior PACE experience
  • Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members

Benefits of Working at WelbeHealth

Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
  • 401K savings + match
  • Advancement opportunities - we've got a track record of hiring and promoting from within, meaning you can create your own path!
  • And additional benefits
  • Compensation consists of base salary plus bonus.
  • WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits.
  • Actual compensation will be determined based on experience and relevant qualifications.

Compensation Offering $99,309.58 - $131,088.64 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Beware of Scams

  • Please ensure your application is being submitted through a WelbeHealth sponsored site only.
  • Our emails will come from @welbehealth.com email addresses.
  • You will never be asked to purchase your own employment equipment.
  • You can report suspected scam activity to

About WelbeHealth

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve.

Our Health Plan Services team plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of our care delivery processes.

Equal opportunity and legal notices

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Read the original posting

From WelbeHealth's careers page, first listed on Rolev.ai on October 31, 2026. Rolev.ai is not the employer.

How Rolev.ai helps with this application

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Common questions

What is the salary for the Utilization Management RN role at WelbeHealth?

The Utilization Management RN posting at WelbeHealth states compensation of $99,310 – $131,089 per year. Final pay may depend on location, experience, and interview evaluation on WelbeHealth's official career site.

Where is the Utilization Management RN job at WelbeHealth located?

This Utilization Management RN position at WelbeHealth is located in California. Always check WelbeHealth's application page for specific state eligibility or relocation policies.

How do I apply for the Utilization Management RN position at WelbeHealth?

This listing links directly to WelbeHealth's Greenhouse application page. You can apply directly on WelbeHealth's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Greenhouse application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.

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